Inspection on 08/03/06 for Redwood Close 11

This inspection was carried out on 8th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Redwood Close 11 05/12/06

Redwood Close 11 07/09/05

Redwood Close 11 09/03/05

Redwood Close 11 30/11/04

Redwood Close 11 12/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Redwood Close 11 11 Redwood Close Bridlington East Riding Of Yorks YO16 7GX Lead Inspector Pam Dimishky Unannounced Inspection 8th March 2006 09:30 Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Redwood Close 11 Address 11 Redwood Close Bridlington East Riding Of Yorks YO16 7GX 01262 675862 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) East Yorkshire Housing Association Limited Christine Margaret Lessentin Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2005 Brief Description of the Service: 11 Redwood Close is owned by East Yorkshire Housing Association Limited. The home is registered to provide accommodation and care for three male or female service users with a learning disability. There are currently 2 service users living at the home. The home is generally well maintained and bedrooms are individually decorated to reflect the style and taste of the service users. Service users have access to all communal areas and can spend time with others in the lounge and dining room or take time to be alone in their bedroom. The home has its own transport for taking service users to day centres or on outings in the surrounding countryside and has good access to the local bus service. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a period of 4.5 hours including preparation time for the inspector. The inspection included a tour of the premises and examination of a number of records, including the person centred plan for each resident. The inspector spoke to one resident, the assistant manager and acting manager. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The policy and procedure for admissions to the home includes individual needs being assessed; this ensures the home can meet the needs. EVIDENCE: Both residents moved into the home during 1989 and the home has had no vacancies for sometime. However, the assistant manager stated any future prospective residents would need to meet the policy and procedure for selection operated by East Yorkshire Housing Association. Compatibility with other residents is a main consideration when placing new residents. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 8 Care plans provide staff with the information they need to meet residents’ individual needs. Residents’ lives are enhanced by the support and encouragement they receive to make decisions about their lives and to take responsible risks. EVIDENCE: Care plans are very comprehensive and include a person centred assessment; this includes bathing routines, toileting and dietary requirements. A detailed personal profile of the resident is also included which embraces individual aspirations. Risk assessments are in place evidencing that residents are supported to take responsible risks within identified safeguards; these and care plans are reviewed routinely by the home six monthly, or as needs change, and annually by social services. A diary is completed daily for each resident detailing the care provided and activities for the day. Chiropody, dental and optical services are accessed through the local hospital or practitioners in Bridlington. One resident is being referred for speech therapy which could improve communication and quality of life. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 9 Both residents attend local day centres, Priory View and Community Action Participation (CAP), one five days a week and the other three days. Dependent on the residents’ capabilities, there is an opportunity to take part in swimming, dancing, horse riding, computer skills, writing, jigsaws, drawing, painting and model making. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 and 17 Residents are well integrated into the local community and benefit educationally and socially from attending day centres. Residents’ lives are improved by the meals provided in the home being in accordance with their individual choice. EVIDENCE: Both residents attend local day centres, Priory View and Community Action Participation (CAP), one five days a week and the other three days. The activities offered include swimming, dancing, horse riding, computer skills, writing, jigsaws, drawing, painting, model making etc and participation is dependent on individual capabilities. Saturday and Sunday the residents are taken for a trip out of the home, including lunch in a café or pub and sometimes meeting up with residents from other homes. Special events taking place over the Christmas period included a trip with Santa on the North Yorkshire Moors train and a buffet party in a hotel organised by the East Yorkshire Housing Association for all their residents. Food provided by the home is in accordance with residents’ individual choice and their known likes and dislikes. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 11 Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20 Residents are assisted with personal care in a way that promotes privacy, choice and independence. The systems in place for the administration of medication protect the health and safety of residents. EVIDENCE: The person centred plan indicates the resident’s preference in the personal care and support provided. The records are very detailed and evidence that choices are being made and promoted. Both residents are unable to administer and control their own medication. Medications are stored securely and in accordance with the home’s policy and procedure for dealing with medications. Both residents medication were checked and in order. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality assurance procedures are in place which, as far as possible, ensure residents views are listened to and acted on. The home’s policy, procedure and training for staff ensure residents are protected from abuse. EVIDENCE: To guarantee as far as possible residents views are being heard and acted on, relatives and staff complete a questionnaire six monthly about the services provided; an invitation is also sent to relatives to attend both the home’s six monthly review of the care provided and the annual review with care management. Monthly tenants meetings are held where staff record how they feel residents would view the issues discussed based on their knowledge of the resident. East Yorkshire Housing Association ensure all staff receive accredited training in the protection of vulnerable adults and are kept up-to-date. The home’s policy and procedure is reviewed regularly and a video has been obtained to provide in-house training followed by staff completing a questionnaire. The complaints procedure is included in the statement of purpose/service user guide given to relatives. No complaints have been recorded since the last inspection. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The standard of the environment within this home is good providing residents with an attractive, clean and homely place to live. EVIDENCE: This single storey small home is in keeping with the local community and provides residents with a comfortable, homely place to live. Rooms are personalised as much as possible in keeping with the resident’s interests. One resident has a large collection of CD’s and during this inspection, was fully absorbed in listening to the music through his headphones; he was very keen to show the inspector his room, music system and CD’s. The conservatory is now used as a “sleep in” room for staff and the acting manager stated the Association has plans to add to this area and include a third bedroom. A recommendation made by the inspector at the last inspection has been implemented and staff now have their own toilet and shower facility, although the shower continues to be used by one resident who prefers a shower to bathing. Since the last inspection, radiators in the lounge now have guards fitted. Laundry and kitchen facilities are appropriately sited and equipped to meet the needs of the residents. A ramp with non-slip surface, which had been positioned up to the step to the laundry, has proved to be unsafe when wet Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 15 and has now been removed. The manager said the builder who installed the ramp has been requested to review the situation. A gas fire in the lounge is unprotected and the shower was checked to be capable of delivering hot water at sixty degrees centigrade; both may put residents at risk of being scalded or burned. An immediate requirement was served for both these appliances to be made safe however, the acting manager confirmed staff would be made aware of the risks in using the shower and also put a notice on the fire not be used until arrangements could be made for it to be made safe. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 The staff have a good understanding of the residents’ support needs. This is evident from the positive relationships which have been formed between the staff and residents. The home ensures residents are in safe hands at all times through staff training and the Associations recruitment policy and procedures. EVIDENCE: The acting manager and assistant manager confirmed the Association’s recruitment policy and procedure includes two references being obtained (one from the previous employer), Criminal Records Bureau (CRB) check and POVA check. A photograph is kept of all employees and a copy, with the staff member’s qualifications, is included in the statement of purpose which is given to relatives. No new members of staff have been recruited since the last inspection, but the acting manager confirmed new staff receive the Learning Disability Award Framework (LDAF) induction training, all staff are up to date with mandatory training and are qualified to NVQ level II or above. Records for recruitment and selection are kept at the organisation’s head office and were not therefore seen at this inspection. One or two members of staff are on duty at all times, one member of staff sleeps in, and a manager is on call 24 hours a day. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 42 The home is being well managed and staff receive guidance and support to ensure residents receive a consistent quality of care. Policies and procedures are in place for safe working practices ensuring the health, safety and welfare of residents. EVIDENCE: The acting manager has 17 years experience working for East Yorkshire Housing Association and is currently applying to the Commission for Social Care Inspection (CSCI) to be the registered manager. The organisation has achieved the Investors in People award and parts 1 and 2 of the local authority’s quality development scheme. Surveys are completed every six months by relatives of residents and staff. The results of these are audited centrally and a document recording the outcome is published which is read by staff and discussed at monthly tenants meetings. Policies, procedures and practices are reviewed regularly. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 18 There is a fire risk assessment in place and fire drills are held three monthly. The fire alarm and emergency lighting is tested weekly and checked annually along with the gas cooker, gas fire, boiler and hot water valves. A landlord’s gas safety certificate was seen dated 28th October 2005. All cleaning materials are stored in a locked cupboard in the garage and COSHH (Control of Substances Hazardous to Health) information is in place for all substances used. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 1 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x 3 x x x x 3 x Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 13 Requirement All parts of the home to which resident’s have access must as far as is reasonably practicable be free from hazards to their safety (shower and gas fire in the lounge) Timescale for action 08/03/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations Ideally, staff should be provided with separate toilet and bathing/shower facilities. Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Redwood Close 11 DS0000019782.V273642.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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